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1558566455
MARY C TISCH
FAIRFAX, VA
NPI
1558566455
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Former Name
MARY C CAMPBELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110003594)
Enumeration Date
2007-06-19
Last Update Date
2021-08-27
Business Address
MARY C TISCH PA
3580 JOSEPH SIEWICK DR STE 305
FAIRFAX, VA 22033-1764
Phone number: 703-648-3266
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Mailing Address
MARY C TISCH PA
2901 TELESTAR CT. #300
FALLS CHURCH, VA 22042-1263
Phone number: 703-591-1688
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